GBR with Cti-mem in the periodontally compromized narrow ridge of #14

Dr. Nam Yoon Kim 김남윤원장님

Author
Dr. Nam Yoon Kim, DDS, MDS, PhD

Director of Global Academy of Osseointegration
Seoul, Korea



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33M has a aggressive periodontitis. He had lost his #14, and severe alveolar bone resorption of #17 and #27.
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After retraction of flap showed severe bony resorption on the buccal side. The width of ridge was under 3mm.

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Cti-mem was placed with 2 point fixation after bone graft.

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Colla-tape was put on the Cti-mem to have a stability of the wound.

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Primary closure was obtained.

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After 4months, instead of slight exposure of Cti-mem, the new bone was gained enough.

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And placed the implant, you can see the optimal buccal volume of newly formed bone.

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Simply sutured.

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The Class I of Mx. Post area classification by Dr. Hoe. 4.5 diameter and 11.5 length IS-II ikplant was placed. No any other bone graft was done.

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After 4 months of the implant placement, the site of wound was excellently healed.

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The implant was uncovered.

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Simple incision and apically positioned flap had perfomed to increase keratinized gingiva around the implant. The healing abutment was connected.

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The preformed abutment was connected.

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You can see the enough buccal soft and hard tissue volume and corridor.

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The final prosthesis was cemented.

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After the delivery of final prosthesis, the site was checked by X-ray.

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A 33 year old male patient came to the clinic presenting an aggressive periodontitis. He had lost his #14, and severe alveolar bone resorption of #17 and #27 was found…

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